Sample Record for 2022-07-18-2
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 214989 DEA: 050L7224 EFIS: 0515000098
QA Service Level: 1
DIST-CO-RTE-PM: 05-SLO-1-34.5
Work Description: REPLACE BRIDGE.
Location Description: SAN LUIS OBISPO COUNTY NEAR MORRO BAY AT OLD CREEK BRIDGE
Contractor Name: PAPICH CONSTRUCTION COMPANY, INC.
Contractor Address: 1686 Ramona Avenue, Suite D, Grover Beach, CA 93433
Resident Engineer: Rick Silva Structure Rep.: Sal Heredia
Sample Information
DIME Sample ID: 2022-07-18-2
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Los Angeles Field Office
Sample Organization Contact: (858) 285-5797
Type of Sample: Quality Control
Type of Material: SMTL TM5 - Welded Hoops
Sample Taken Date: 07/18/2022
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 985
A brief description of the sample: Welded Hoop
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: RKR Steel Welding
Material Information
Production or Authorization Testing: Production Testing
Service or Ultimate: Ultimate
Rebar Heat Number(s): 171022
Hoop Manufacturer Lot Number(s): 8 to 14
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Size: #5
Diameter of Hoop: 2'-0"
Epoxy Coated: No
Epoxy Coating Color: NA
Rebar Manufacturer: Cascade
Welding Company: RKR Steel Welding
Coating Standards: Uncoated
Weld Type: Flash Welded
Test Results
